This rule incorporates Department-wide application forms utilized in licensing, licensure renewal, and licensure discipline.

 

DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION

Departmental

RULE NO.: RULE TITLE:

61-6.022 Approved General Forms

PURPOSE AND EFFECT: This rule incorporates Department-wide application forms utilized in licensing, licensure renewal, and licensure discipline.

SUMMARY: The rule will adopt and incorporate by reference master forms utilized by the Department, its Divisions, and the regulatory boards, for licensing, licensure renewal, and licensure discipline.

SUMMARY OF statement of ESTIMATED REGULATORY COSTS: No Statement of Estimated Regulatory Cost was prepared.

Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.

SPECIFIC AUTHORITY: 455.213(1) FS.

LAW IMPLEMENTED: 455.203 FS., 455.213(1) FS.

IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE SCHEDULED AND ANNOUNCED IN THE FAW.

THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Gail Scott-Hill, Assistant General Counsel, Department of Business and Professional Regulation, 1940 North Monroe Street, Tallahassee, Florida 32399-2202

 

THE FULL TEXT OF THE PROPOSED RULE IS:

 

61-6.022 Approved General Forms.

The following is a list of the forms utilized by Department divisions and regulatory boards for purposes of licensing, licensure renewal, and licensure discipline. These forms can be obtained from the Department at 1940 North Monroe Street, Tallahassee, Florida 32399-0756, or by calling [phone].

(1) Master Individual Application, DBPR 0010 (three pages).

(2) Master Organizational Application, DBPR 0020 (one page).

(3) Attestation Statement, DBPR 0030 (one page).

(4) Officers and Directors, DBPR 0040 (two pages).

(5) Explanatory Information for Background Questions, DBPR 0050 (two pages).

(6) General Explanatory Description, DBPR 0060 (one page).

(7) Uniform Complaint Form, DBPR 0070 (four pages).

(8) Request for Address or Name Change, DBPR 0080 (one page)

(9) Duplicate License Request, DBPR 0090 (one page).

(10) Request for Release of Information and Authorization to Release Information, DBPR 0100 (two pages).

(11) Smoking Complaint Form. DBPR 0110 (one page).

Specific Authority 455.213(1) FS. Law Implemented 455.203, 455.213 FS. History–New ________.

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Gail Scott-Hill, Assistant General Counsel, Department of Business and Professional Regulation, 1940 North Monroe Street, Tallahassee, Florida 32399-2202

NAME OF SUPERVISOR OR PERSON WHO APPROVED THE PROPOSED RULE: Simone Marstiller, Secretary, Department of Business and Professional Regulation

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: January 5, 2006

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAW: September 16, 2005